Zvinodhaka Zvinoshandiswa Kurapa Chemotherapy-Inokonzerwa neAnemia
Paunenge uchirapa chemotherapy , iwe uchaongororwa uye uchaongororwa chero zvinetso. Chimwe chiyero chakajairika ndeye Complete Blood Count (CBC), iyo inopa chiremba wako ruzivo ruzivo nezvemarudzi uye huwandu hwemasero ari muropa rako. Kana chiratidzo chako cheCBC chichiratidza kuti ropa rako rekuyera ropa rakaderera, iwe unogona kunge une chirwere .
The Link Between Breast Cancer, Chemotherapy, uye Anemia
Anemia inogona kuita kukonzera kenza yemazamu kunyange zvakanyanya kwauri; iwe unganzwa uchinetseka zvakanyanya, uine simba, unotya kana wakaneta.
Iwe unogona kukuvadza nyore nyore kana kuti unogara uine nosebleeds. Kuora muviri kunogona kuderedza muviri wako uye zvirwere zvekudzivirira muviri, zvichiita kuti zvive zvakaoma mumuviri wako kurwisa zvirwere uye utachiona.
Kana chiremba wako achiwana iwe une chirwere chekushaya ropa nekuda kwekemotherapy, anogona kukupa iwe mishonga kuti ikubatsire kubereka mamwe masero matsvuku eropa. Aranesp (darbepoetin alfa) uye Zvinyorwa (epoetin alfa) ndezvimwe zvinodhaka zvinowanzoshandiswa nokuda kwechinangwa ichi. Kununurwa kana kujowa kana kuburikidza nekunyanyisa kunokonzera (IV), vanogona kusimbisa masero enyu matsvuku ekugadzirwa kweropa uye zvingakubatsira kuti usapinda kuwedzerwa ropa.
Maitiro Aya Zvinodhaka Zvinoshanda Sezvakaita Ropa Ropa Remafu
Ropa rinogadzirwa mumapfupa ako, mapfupa, zvinyoro, mukati memapfupa ako. Bone marrow masero ndiwo masero anoparadzanisa, anokanganisa chemotherapy. Mashoma masero emasero anoreva mashoma masero eropa. CBC yako inogona kuratidza kuti ropa rako rakatsvuka rakaderera, uye iwe une chirwere.
Kazhinji, itsvo dzenyu dzinobereka erythropoietin, puroteni inokurudzira kugadzirwa kwemasero matsvuku eropa.
Asi panguva yechimo yekenza yepazamu, itsvo dzako dzingasaita eerythropoietin yakakwana. Zvinyorwa uye Aranesp zvinotsigirwa nevanhu zve erythropoietin, uye chirongwa chakakodzera chechirwere ichi chichawedzera kubudiswa kwemasero matsvuku eropa.
Migumisiro Yechiratidzo yeChirongwa
Chirongwa chirwere chakachengeteka kwazvo, uye varwere vakawanda havaoni migumisiro yemigumisiro. Vamwe varwere vanogona kuva nefivha. Iwe une mukana unopfuura 22% wekuita izvi:
- Diarrhea
- Nausea
- Kudzora
- Fluid retention (edema)
- Kuneta
Dana Doctor Yako kana Une Zviratidzo Izvi:
- Allergic reaction (mikoko, zvinetso kufema, kuvhara kwechiso, miromo, rurimi kana huro)
- Chipfuva chepfu
- Kupfupika kwemhepo
- Kungoerekana uchinzwa kusina simba kana kushaya simba (kunyanya kusagadzikana)
- Uturu kana kuvhara mumakumbo ako, tsoka, kana maziso
- High blood pressure
- Chiedza-musoro (chizoro, chineta)
Migumisiro Yechikamu Aranesp
Aranesp ane zvikwereti zvakakomba, saka iva nechokwadi chekukurukurirana ngozi dzinogona kuitika kune chiremba wako. Achashanda newe kuti asarudze mazamu akaderera kuderedza ropa rako chekuverenga panguva yekugadzirisa njodzi dzinogona kuitika. Muvarwere vane kenza yemazamu, chirwere chinogona kukura nekukurumidza uye kune mikana yekufa nokukurumidza kana iwe ukatora Aranesp.
Inogona kukonzera nharo dzemwoyo yakakomba, kusanganisira mwoyo kurwisa, mwoyo kusakundikana, uye kurohwa. Ropa rekupa ropa rakave rakaziviswawo pavanenge vachirapa naAranesp. Danaidza mubatsiri wako wehutano panguva iyoyo kana uine chimwe chezviratidzo izvi:
- Chipfuva chepfu
- Dambudziko rokufema kana kupererwa kwemhepo
- Uturu kana kuvhara mumakumbo ako
- Iko kunotonhora kana ruoko kana gumbo
- Kusavhiringidzika kamwe-kamwe, kunetsa kutaura kana kuoma kunzwisisa vamwe
- Utera mune chiso chako, maoko, makumbo kana kune rumwe rutivi rwemuviri wako
- Kamwe kamwe-kamwe nhamo yakaona
- Nenguva isipi matambudziko achifamba
- Kurasikirwa kwekuziva
Aranesp ine zvimwe zvakakomba migumisiro, kusanganisira kukonzerwa kweropa, kubatwa, zvirwere zveAranesp, zvinoreva kuti muviri wako unogona kuvhiringidza Aranesp uye kuwedzera kukura kweanemia uye zvakakomba zvinogadziriswa.
Zvinorayira Purogiramu
Pamberi peAranesp yako yokutanga kana Kuenzanisa kurapwa, chiremba wako anorayira CBC kuti awane mazana emasero matsvuku eropa, hemoglobin , hematocrit , uye iron.
Sezvo kurapwa kuchifambira mberi, iwe uchange uine dzimwe kuongororwa kweropa kuti uongorore kubudirira kwechirwere uye uve nechokwadi chokuti uri kuwana dhi rakanaka.
Usati watanga kurapa kupi zvako, taura nachiremba wako pamusoro pekuda kwako uye njodzi dzinogona kuitika uye migumisiro.
Sources:
Zvokudya & Drug Administration. "Kurambidza Kunyora Mashoko." Revised 2015.
Zvokudya & Drug Administration. "Kurondedzera Kunyora Mashoko," Revised 2013.
"Araspen Labeling Revision." FDA Postmarket Mishonga Yezvokuchengetedza Ruzivo rwevarwere uye vanachiremba, 2013.
Muller, R., Baribeault, D. "Maitiro akawedzerwa-mizinga-erythropoietic agents mu chemotherapy-induced anemia". American Journal of Health-System Pharmacy , 2007, 2547-2556.